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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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PINE
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4100 – Safe Body Art
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PR0524524
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COMPLIANCE INFO
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Entry Properties
Last modified
11/13/2025 8:31:57 AM
Creation date
7/3/2020 10:15:18 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0524524
PE
4120 - BODY ART FACILITY-SINGLE USE
FACILITY_ID
FA0016445
FACILITY_NAME
HARD LUCK TATTOO (NGUYEN, BAO)
STREET_NUMBER
1
Direction
W
STREET_NAME
PINE
STREET_TYPE
ST
City
LODI
Zip
95240
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4120_PR0524524_1 W PINE_.tif
Site Address
1 W PINE ST LODI 95240
Tags
EHD - Public
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I. Sterilization of Jewelry: Describe the procedure for the sterilization of jewelry prior to placing into <br /> newly pierced skin. <br /> N1,4 L2Y <br /> J. Sterilization Equipment: List the equipment used in the decontamination and sterilization room <br /> and describe the procedure for decontaminating instruments prior to placing inside the autoclave. <br /> Indicate whether instruments are manually washed or machine washed, such as with an <br /> Ultrasonic machine. Include the material used for soaking dirty instruments in the machine, <br /> such as Tergazyme. <br /> Nf /kL� <br /> K. Disinfection Products: List the disinfectant products used at the body art facility. <br /> 1�U C�ZOF a-F V-7 IIJ b';=7 ; A L.,-,O Vic <br /> L. Time and Temperature: List the duration of time and temperature of the autoclave required for <br /> the sterilization of clean instruments. <br /> Time N/IN <br /> Temperature tJiN <br /> Psi Wr\ <br /> M. Personal Protective Equipment: List the personal protective equipment used during a body art <br /> procedure. <br /> NTMA, L�- G4L-ep a _5 �i �r�� D �S p �R�. Pt P er'a►`: <br /> N. Handwashing Sink: List the locations of the handwash sinks and describe the items supplied at <br /> each sink. <br /> 4�AT�k2Ey� VVAI.—�'JPN / VJ Art-V-Wx"' RAC-kQ C)M SQAUJ+JS 2S, <br /> EM?CA r-LS <br /> O. Aftercare Procedure: Describe the written recommendations and care provided to the client after <br /> a body art procedure. List the type of bandages or wrappings provided after a body art <br /> procedure. <br /> ?L_ S-tXc, \,QOAPP2NC, sS t4PP LZE1) W --,rJ4 --sin 14 F7-�Z 'T4+E <br /> Tk too J:�S `i`7-�Q.LS49C) , A LT-&T of F�LT�P_CAILE �/�S-T2i/c7-i0AK> <br /> MLC 'P/2(j <br /> Page 5 of 9 <br />
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